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1316015985
BROAD 64 IMAGING LLC
RICHMOND, VA
NPI
1316015985
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Entity Type
Organization
Authorized Contact
KIMBERLY RALSTON
System Director
419-996-5119
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2006-12-01
Last Update Date
2020-11-04
Business Address
BROAD 64 IMAGING LLC
6605 W BROAD ST SUITE B - GROUND FLOOR
RICHMOND, VA 23230
Phone number: 804-281-0215
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Mailing Address
BROAD 64 IMAGING LLC
PO BOX 631146
CINCINNATI, OH 45263-1146
Phone number: 513-952-5002
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